Table 3.
Trough plasma concentrations of brivaracetam and its metabolites during the evaluation period for patients with focal seizures (pharmacokinetic-per-protocol set)
| Trough plasma concentration (µg/mL)a | |||
|---|---|---|---|
| Patients with focal seizuresb | |||
| Aged < 4 years | Aged 4 to < 16 years | Total | |
| End of week 1 (low dose) | n = 11 | n = 19 | n = 30 |
| Brivaracetamc | 0.201 (64.4) | 0.279 (81.0) | 0.247 (76.3) |
| BRV-OH | 0.050 (78.8) | 0.061 (44.7) | 0.057 (58.0) |
| BRV-AC | 0.008 (94.4) | 0.015 (77.3) | 0.012 (89.9) |
| BRV-OHAC | 0.006 (43.1) | 0.008 (46.7) | 0.007 (48.4) |
| End of week 2 (mid dose) | n = 9 | n = 11 | n = 20 |
| Brivaracetamd | 0.348 (62.3) | 0.379 (58.3) | 0.365 (58.5) |
| BRV-OH | 0.100 (63.1) | 0.123 (55.3) | 0.112 (58.3) |
| BRV-AC | 0.016 (84.9) | 0.020 (66.2) | 0.018 (73.7) |
| BRV-OHAC | 0.012 (34.9) | 0.014 (37.6) | 0.013 (36.1) |
| End of week 3 (high dose) | n = 7 | n = 11 | n = 18 |
| Brivaracetame | 0.598 (60.6) | 0.761 (57.7) | 0.693 (58.5) |
| BRV-OH | 0.200 (96.4) | 0.277 (56.0) | 0.244 (72.2) |
| BRV-AC | 0.028 (77.9) | 0.048 (68.9) | 0.039 (77.6) |
| BRV-OHAC | 0.019 (38.8) | 0.029 (43.6) | 0.024 (46.5) |
Data are presented as geometric mean (coefficient of variation %). All reported p-values can only be interpreted in an exploratory manner, i.e., are nominal
BRV-AC acid metabolite of brivaracetam, BRV-OH hydroxy metabolite of brivaracetam, BRV-OHAC hydroxy acid metabolite of brivaracetam
aMultiply by 4.713646 to convert concentrations from µg/mL to µmol/L. Metabolite concentrations are expressed in brivaracetam equivalents and use the same conversion factor
bPatients with a history of focal seizures with or without secondary generalization and no primary generalized seizures at baseline
cWilcoxon rank-sum test for difference between groups aged < 4 years and 4 to < 16 years, p = 0.17
dWilcoxon rank-sum test for difference between groups aged < 4 years and 4 to < 16 years, p = 0.60
eWilcoxon rank-sum test for difference between groups aged < 4 years and 4 to < 16 years, p = 0.48